修复材料对内冠和后核心修复的生物力学行为的影响:一个三维有限元素分析
Filiz Yagci1, Emir Esim2, Ravza Eraslan1
1Department of Prosthodontics, Erciyes University Faculty of Dentistry, Kayseri, Turkey.
Journal of prosthodontic research
|March 2, 2025
概括
计算机辅助设计/计算机辅助制造 (CAD/CAM) 内冠表现出不同的生物机械性能. 二氧化和聚乙基 (PEEK) 内冠可以减少根压,但PEEK会增加水泥故障的风险.
科学领域:
- 牙科材料科学 牙科材料科学
- 生物机械工程 生物机械工程
- 恢复性牙科 恢复性牙科
背景情况:
- 严重损坏的牙往往需要复杂的修复.
- 缺少杆损害了传统的后核心和冠状稳定性.
- 计算机辅助设计/计算机辅助制造 (CAD/CAM) 提供先进的修复解决方案.
研究的目的:
- 评估CAD/CAM内冠和后核系统的生物力学行为.
- 比较传统与CAD/CAM材料在缺牙.
- 在这些修复中评估树脂水泥故障风险.
主要方法:
- 制造了22个内冠模型 (混合陶,二氧化,PEEK) 和后芯 (各种材料).
- 在斜负荷下,模拟了缺铁的切口牙和前牙.
- 分析了根牙和修复中的·米塞斯应力;计算了树脂水泥故障风险.
主要成果:
- 二氧化和PEEK内冠分别显示了切肢和前肢的较低根应力.
- 在PEEK内冠中,内部压力最低,但水泥故障风险较高.
- 玻璃纤维后/复合材料核心组呈现出最高的粘合和凝聚力故障风险后水泥.
结论:
- 二氧化和PEEK内冠在缺铁的前牙和前牙上提供了生物力学优势.
- 在减少根压的同时,PEEK内冠,增加了水泥故障的风险.
- 材料选择对于优化生物机械稳定性和最大限度地减少缺铁管修复的故障至关重要.
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